Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADY OAK DENTAL LLC ORAL AND MAXILLOFACIAL SURGEONS OF NORTHWEST IL
Active OrganizationSHADY OAK DENTAL LLC ORAL AND MAXILLOFACIAL SURGEONS OF NORTHWEST IL is a Oral and Maxillofacial Surgery Clinic organization located in FORRESTON, Illinois. NPI 1437703113 is currently active in the NPPES registry. Verify at CMS.
Oral and Maxillofacial Surgery Clinic · FORRESTON, IL
Registration Details
- NPI Number
- 1437703113
- Provider Type
- Organization
- NPI Issued
- Jul 30, 2019 (6.8587318156461 yrs)
- Last Updated
- Jul 30, 2019
Practice Information
- Address
-
208 N WALNUT AVEFORRESTON, IL, 610309330Browse IL providers · Browse ZIP 61030
- Phone
- 8159382575
- Primary Specialty
-
Oral and Maxillofacial Surgery Clinic
261QS0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.